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Market snapshot

J0178 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J0178 — Injection, aflibercept, 1 mg

Billing groups
863
Named-group FFS services
2,026,016
FFS of Medicare
49%
Services YoY
-21.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,108,345 services

2,026,016 observed fee-for-service (49%) · ~2,082,329 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation; 2 states without payer-mix data excluded. How we scale

Top states — J0178 (CY2024)
CA 239,203 FL 233,404 NY 185,617 TX 161,570 PA 153,169

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$3.5B
Named-group allowed amount
$1.7B
Named-group Medicare payments
$1.3B
Avg charge / svc
$1,723
Avg allowed / svc
$822
Avg payment / svc
$652
Average charge per group
$19 863 groups · avg submitted charge / service $4,890
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Specialty market — Optometry: 96,117 services across 73 groups; top group 11%. See Optometry across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers J0178 svcs Submitted charges Avg charge Medicare $ Share of specialty*Share of state* Phone
1 EYE ASSOCIATES OF NEW MEXICO LTD ALBUQUERQUE NM OPTOMETRY 67 8,682 $11,051,700 $1,273 — 67.4% (505) 888-5757
2 VISION INNOVATION CENTERS OF PENNSYLVANIA LLC WEST PITTSTON PA OPTOMETRY 85 6,672 $12,259,336 $1,837 — 4.4% (570) 602-1010
3 EYE CENTERS OF LOUISVILLE,PSC LOUISVILLE KY OPTOMETRY 28 5,236 $6,416,718 $1,226 — 13.0% (502) 895-0040
4 EYE ASSOCIATES OF MANATEE, LLP BRADENTON FL OPTOMETRY 63 4,850 $8,845,652 $1,824 — 2.1% (941) 792-2020
5 DAVID M HARMAN MD LLC RICHMOND VA OPTOMETRY 48 4,638 $4,648,000 $1,002 — 5.0% (804) 285-0680
6 LANSING OPHTHALMOLOGY, PC EAST LANSING MI OPTOMETRY 25 4,044 $4,448,400 $1,100 — 4.7% (517) 337-1668
7 CENTER FOR SIGHT PL VENICE FL OPTOMETRY 37 3,922 $7,412,580 $1,890 — 1.7% (941) 488-2020
8 GROSSNICKLE EYE CENTER INC WARSAW IN OPTOMETRY 12 2,800 $4,823,000 $1,723 — 4.2% (574) 269-2777
9 CAMPBELL CUNNINGHAM TAYLOR PC KNOXVILLE TN OPTOMETRY 16 2,736 $3,954,570 $1,445 — 4.5% (865) 584-2127
10 BARNET DULANEY PERKINS EYE CENTER, PC PHOENIX AZ OPTOMETRY 103 2,600 $6,045,000 $2,325 — 5.7% (602) 955-1000
11 STERLING VISION PC FLORENCE OR OPTOMETRY 8 2,552 $3,190,000 $1,250 — 5.4% (541) 762-2763
12 DAKOTA EYE INSTITUTE PC BISMARCK ND OPTOMETRY 15 2,456 $3,684,000 $1,500 — 30.2% (701) 222-3937
13 KATZEN MEDICAL ASSOCIATES PC LUTHERVILLE MD OPTOMETRY 25 2,376 $2,970,000 $1,250 — 2.9% (410) 821-9490
14 CLEMSON EYE PA EASLEY SC OPTOMETRY 51 2,376 $4,380,800 $1,844 — 4.3% (864) 654-6706
15 BLUE SKY VISION EYE CARE PC GRAND RAPIDS MI OPTOMETRY 51 2,215 $2,768,750 $1,250 — 2.6% (616) 949-2600
16 THOMAS EYE GROUP PC ROSWELL GA OPTOMETRY 56 1,928 $3,596,400 $1,865 — 3.2% (770) 475-5515
17 MAINE EYE CARE ASSOCIATES WATERVILLE ME OPTOMETRY 8 1,716 $1,801,800 $1,050 — 12.9% (207) 873-2731
18 MARION EYE CENTERS LTD MARION IL OPTOMETRY 39 1,518 $1,518,000 $1,000 — 1.5% (618) 993-5686
19 EYE ASSOCIATES OF NEW MEXICO LTD ALBUQUERQUE LA OPTOMETRY 67 1,464 $1,830,000 $1,250 — 7.5% (505) 888-5757
20 ANDREW S RIEMER DO PC LUDINGTON MI OPTOMETRY 9 1,396 $1,535,600 $1,100 — 1.6% (231) 845-6261
21 DELAWARE OPHTHALMOLOGY CONSULTANTS PA WILMINGTON DE OPTOMETRY 12 1,358 $1,493,800 $1,100 — 36.4% (302) 479-3937
22 MIDWEST EYE CONSULTANTS PC FORT WAYNE IN OPTOMETRY 70 1,302 $2,862,200 $2,198 — 2.0% (260) 471-2375
23 ROCKINGHAM EYE PHYSICIANS AND ASSOCIATES PC ROCKINGHAM VA OPTOMETRY 9 1,180 $1,180,000 $1,000 — 1.3% (540) 433-2485
24 COLUMBIA BASIN EYE CLINIC PS MOSES LAKE WA OPTOMETRY 3 1,089 $1,150,800 $1,057 — 2.0% (509) 765-7845
25 EYE CARE AND SURGERY PC ROANOKE VA OPTOMETRY 8 1,084 $1,192,400 $1,100 — 1.2% (540) 992-6867
26 CONNER SMITH EYE CENTER PC SEYMOUR IN OPTOMETRY 3 1,082 $1,265,940 $1,170 — 1.6% (812) 524-3937
27 VICTORIA EYE CENTER PA VICTORIA TX OPTOMETRY 11 1,042 $1,165,057 $1,118 — 0.6% (361) 578-0234
28 MANN EYE CENTER, PA HOUSTON TX OPTOMETRY 48 1,002 $1,027,050 $1,025 — 0.6% (713) 580-2550
29 CLEMSON EYE PA EASLEY GA OPTOMETRY 51 908 $1,660,070 $1,828 — 1.5% (864) 654-6706
30 COMMUNITY EYE CARE SPECIALISTS P C JAMESTOWN PA OPTOMETRY 8 896 $1,232,000 $1,375 — 0.6% (716) 483-2020
31 BERKELEY EYE INSTITUTE, PLLC HOUSTON TX OPTOMETRY 62 838 $879,900 $1,050 — 0.5% (281) 333-8600
32 RF EYE PC SIERRA VISTA AZ OPTOMETRY 3 834 $1,042,500 $1,250 — 1.8% (520) 458-8131
33 EYECARE ASSOCIATES PC ALBANY OR OPTOMETRY 18 828 $3,100,820 $3,745 — 1.8% —
34 JEFFREY V. WINSTON, M.D., A PROFESSIONAL CORP. FULLERTON CA OPTOMETRY 7 796 $2,925,895 $3,676 — 0.3% (714) 888-2080
35 ALEXANDRIA EYE AND LASER CENTER LLC ALEXANDRIA LA OPTOMETRY 24 770 $1,925,000 $2,500 — 4.0% (318) 487-2020
36 D'AMBROSIO EYE CARE INC LANCASTER MA OPTOMETRY 12 758 $795,900 $1,050 — 0.8% (978) 537-3900
37 EYE PARTNERS PC DOTHAN AL OPTOMETRY 31 752 $940,000 $1,250 — 2.4% (334) 793-2211
38 PROFESSIONAL EYE ASSOCIATES, INC. DALTON GA OPTOMETRY 7 628 $1,284,000 $2,045 — 1.1% (706) 226-2020
39 EYE HEALTH ASSOCIATES INC DARTMOUTH MA OPTOMETRY 27 626 $918,750 $1,468 — 0.6% 77432030404215
40 RIDGE EYE CARE INC MARYSVILLE CA OPTOMETRY 19 604 $942,330 $1,560 — 0.3% (530) 743-1873
41 KIRK EYE LLC RICHFIELD UT OPTOMETRY 4 588 $1,347,108 $2,291 — 2.7% (435) 287-0563
42 EYE CARE LLC LEAWOOD KS OPTOMETRY 49 524 $658,668 $1,257 — 1.3% (816) 478-1230
43 VENTURA INSTITUTE OF OPHTHALMOLOGY INC LANCASTER CA OPTOMETRY 4 502 $842,143 $1,678 — 0.2% (661) 940-0555
44 UNIVERSITY EYE SPECIALISTS, PC WARSAW NY OPTOMETRY 6 494 $647,518 $1,311 — 0.3% (585) 786-2288
45 CAPE CORAL EYE CENTER PA CAPE CORAL PA OPTOMETRY 18 492 $441,207 $897 — 0.3% (239) 542-2020
46 SOLINSKY EYECARE LLC WEST HARTFORD CT OPTOMETRY 18 488 $683,200 $1,400 — 1.5% (860) 233-2020
47 SIGHT PARTNERS PHYSICIANS PC RENTON WA OPTOMETRY 59 482 $588,504 $1,221 — 0.9% (425) 235-1200
48 VALLEY VISION ASSOCIATES LLP ELLENSBURG WA OPTOMETRY 6 476 $496,373 $1,043 — 0.9% (509) 925-1000
49 TRAVERSE CITY OPHTHALMOLOGY PLLC TRAVERSE CITY MI OPTOMETRY 10 460 $541,200 $1,177 — 0.5% (231) 935-8101
50 INDIANAPOLIS OPHTHALMOLOGY PC CARMEL IN OPTOMETRY 7 416 $1,032,500 $2,482 — 0.6% (317) 846-4223
51 JEFFREY K CHAULK MD PC GAYLORD MI OPTOMETRY 7 401 $498,750 $1,244 — 0.5% (989) 732-6455
52 MILWAUKEE EYE CARE ASSOCIATES SC MILWAUKEE IL OPTOMETRY 9 384 $519,552 $1,353 — 0.4% (414) 271-2020
53 EYE CARE LLC LEAWOOD MO OPTOMETRY 49 366 $460,062 $1,257 — 0.7% (816) 478-1230
54 MANN EYE CENTER, PA HOUSTON AZ OPTOMETRY 48 364 $432,950 $1,189 — 0.8% (713) 580-2550
55 NORTHWEST INDIANA EYE AND LASER CENTER PC VALPARAISO IN OPTOMETRY 6 356 $445,000 $1,250 — 0.5% (219) 464-8223
56 EYE CARE CENTERS MANAGEMENT, INC MORROW GA OPTOMETRY 13 340 $572,466 $1,684 — 0.6% (770) 968-8888
57 MIDWEST CENTER FOR SIGHT, LLC CARMEL IN OPTOMETRY 3 322 $631,442 $1,961 — 0.5% (317) 334-4424
58 GEORGE E. FAVA MD PC LEBANON PA OPTOMETRY 7 302 $380,520 $1,260 — 0.2% (717) 275-2010
59 UNGRICHT PARKER EYE ASSOCIATES INC MURRAY UT OPTOMETRY 5 270 $345,800 $1,281 — 1.3% (801) 314-4420
60 VISIONPOINT EYE CENTER LLC BLOOMINGTON IL OPTOMETRY 15 264 $290,400 $1,100 — 0.3% (309) 662-7700
61 CASCADE EYE CENTERLLC THE DALLES OR OPTOMETRY 3 245 $261,680 $1,068 — 0.5% (541) 296-1101
62 COASTAL EYE SURGEONS LLC GREENWICH CT OPTOMETRY 3 238 $428,332 $1,800 — 0.7% (203) 900-7911
63 SIGHT PARTNERS PHYSICIANS PC RENTON AK OPTOMETRY 59 228 $445,968 $1,956 — 6.1% (425) 235-1200
64 VALLEY EYE ASSOCIATES APPLETON WI OPTOMETRY 28 228 $228,000 $1,000 — 0.7% (920) 358-1820
65 LACONIA EYE ASSOCIATES, P.A. GILFORD NH OPTOMETRY 5 198 $247,500 $1,250 — 3.1% (603) 524-2020
66 CAPE CORAL EYE CENTER PA CAPE CORAL FL OPTOMETRY 18 194 $175,900 $907 — 0.1% (239) 542-2020
67 MICHAEL J. COLLINS, JR, MD, PA FORT MYERS FL OPTOMETRY 9 192 $317,460 $1,653 — 0.1% (239) 936-4706
68 BRUCE H BRUMM MD PC OMAHA NE OPTOMETRY 4 178 $512,308 $2,878 — 1.5% (402) 572-2020
69 BREVARD EYE CENTER INC MELBOURNE FL OPTOMETRY 7 176 $352,000 $2,000 — 0.1% (321) 821-7446
70 EYECARE ASSOCIATES OF SOUTH TULSA PC TULSA OK OPTOMETRY 5 162 $193,200 $1,193 — 0.6% (918) 250-2020
71 EYE CARE AND SURGERY PC ROANOKE SC OPTOMETRY 8 158 $173,800 $1,100 — 0.3% (540) 992-6867
72 THE CENTER FOR SIGHT PC JACKSON MI OPTOMETRY 5 132 $138,600 $1,050 — 0.2% (517) 787-0364
73 AMAR ATWAL MD PC CHEEKTOWAGA NY OPTOMETRY 15 124 $147,600 $1,190 — 0.1% (716) 896-2245
74 RIDGELINE EYECARE ASSOCIATES CASTLE ROCK CO OPTOMETRY 5 118 $148,874 $1,262 — 0.2% (720) 531-0688
75 FILLMORE EYE CLINIC INCORPORATED ALAMOGORDO NM OPTOMETRY 11 116 $139,200 $1,200 — 0.9% (575) 434-1200
76 PROFESSIONAL EYE ASSOCIATES, INC. DALTON OK OPTOMETRY 7 110 $232,000 $2,109 — 0.4% (706) 226-2020
77 MICHIANA EYE CENTER LLC MISHAWAKA IN OPTOMETRY 14 110 $107,855 $980 — 0.2% (574) 271-3939
78 BOOZMAN-HOF REGIONAL EYE CLINIC PA ROGERS AR OPTOMETRY 11 105 $189,000 $1,800 — 0.6% (479) 246-1700
79 ATLEE GLEATON EYE CARE PA AUGUSTA ME OPTOMETRY 5 102 $105,060 $1,030 — 0.8% (207) 622-3185
80 NORTHWEST VISION INSTITUTE PLLC BELLEVUE WA OPTOMETRY 7 88 $123,200 $1,400 — 0.2% 4254502020245
81 EYE CENTERS OF TENNESSEE, LLC COOKEVILLE TN OPTOMETRY 17 70 $87,500 $1,250 — 0.1% (931) 650-4100

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →